Diphenhydramine 12.5 mg/5 ml oral elixir cost in Virginia

DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR · HCPCS Q0163

Hospital City Cash price Negotiated range Payers
HENRICO DOCTORS HOSPITAL RICHMOND not published $0.02 – $3.76 2
TRICITIES HOSPITAL HOPEWELL not published $0.02 – $3.76 2
STONESPRINGS HOSPITAL CENTER Dulles not published $0.02 – $3.76 2
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $0.02 – $3.76 2
RESTON HOSPITAL CENTER VIENNA not published $0.02 – $3.76 2
LEWISGALE MEDICAL CENTER ROANOKE not published $4.26 – $4.26 1
LEWISGALE HOSPITAL-PULASKI PULASKI not published $3.76 – $3.76 1
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $3.76 – $3.76 1
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $3.76 – $3.76 1
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $0.02 – $3.76 2